HomeMy WebLinkAbout3051 Sage Creek Rd - Disclosures - 12/26/2001 (5)11/19/2001 15:01 13036555051 CONTRACTORS PAGE 02
Fort Collins residential energy code 7/96
I L Mechanical systems disclosure form
Job address:
General contractor:
Mechanical contractor: NORTHETN COLORADO AIR, D4C.
Space heating system
Space cooling system
Water heating; system ,
Certification
uWe certify that the above -listed equipment was installed in the building at the above locations in conformance with the
current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code, and that it was installed in
accordance with manufacturer's instructions. IM6 certify that any ductwork has been installed In conformance with
the current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code.
Certified by: ROBR' R MILLER phone: (970) 223-8873
Business fjrm4jj33jjEgLg0WRAD0 AIR, IW.Datt:
Address:1823 E HAR DNY Rn Signature:
Instructions
This disclosure form is to be signed by the mechanical contractor or representative of the general contractor.
Please type or print, except for the signature.
If there are multiple systems serving any function, make mutiple entries to describe them.
One copy of this form shall be provided to the Building and Zoning Department at final Inspection.
One copy of this form shall be provided to the homebuyer.
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